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Supplementary Cash Flow Information (Tables)
6 Months Ended
Jun. 30, 2011
Supplementary Cash Flow Information (Tables) [Abstract]  
Schedule of supplemental Cash Flow information
  Six months ended June 30,
  2011 2010
Supplementary cash flow information:     
 Cash paid for interest$108,898 $128,915
 Cash paid for income taxes(1)$242,776 $261,695
 Cash inflow for income taxes from stock option exercises$4,980 $2,378
       
Supplemental disclosures of cash flow information:     
 Details for acquisitions:     
 Assets acquired$(874,302) $(186,560)
 Liabilities assumed 37,555  11,303
 Noncontrolling interest  1,441  5,741
 Notes assumed in connection with acquisition 1,731  11,009
 Cash paid (833,575)  (158,507)
 Less cash acquired 12,435  1,678
 Net cash paid for acquisitions$(821,140) $(156,829)
 (1) Net of tax refund